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一项基于2005年至2009年韩国国家医院出院深度伤害调查数据的韩国全国中毒住院患者研究。

A nationwide study of patients hospitalised for poisoning in Korea based on Korea National Hospital Discharge In-Depth Injury Survey data from 2005 to 2009.

作者信息

Kim Kyunghee, Choi Jae Wook, Park Miso, Kim Min Soo, Lee Eun Sun

机构信息

Institute for Occupational and Environmental Health, Korea University, Seoul, Korea.

Institute for Occupational and Environmental Health, Korea University, Seoul, Korea Graduate School of Public Health, Korea University, Seoul, Korea Department of Preventive Medicine, Korea University College of Medicine, Seoul, Korea.

出版信息

BMJ Open. 2015 Nov 9;5(11):e008823. doi: 10.1136/bmjopen-2015-008823.

Abstract

OBJECTIVES

In light of the need to develop an integrated database on poisoning incidents in Korea, this study seeks to determine the characteristics of poisoning incidents in Korea by age, gender, location of incident, causative substance and patient prognosis.

DATA SOURCES

The Korea National Hospital Discharge In-Depth Injury Survey results (2005-2009) from the Korea Centers for Disease Control and Prevention were used.

PARTICIPANTS

3826 participants in the survey who had been hospitalised for poisoning incidents.

RESULTS

The poisoning hospitalisation rate per 100,000 population was higher in women (1.735) than in men (1.372) and increased with age: the rate was 0.458 among individuals aged ≤9 years, 0.481 among those aged 10-19 years, 1.584 among those aged 20-64 years and 4.053 among those aged ≥65 years. The intentional poisoning hospitalisation rate differed by gender and age group. Women aged ≤19 years and 20-64 years showed a higher hospitalisation rate than men, while men aged ≥65 years showed a higher hospitalisation rate than women in the same age group. The most common poisoning substance was pesticides (33.6%), while antiepileptic, sedative-hypnotic and antiparkinsonism drugs and psychotropic drugs, not elsewhere classified were also very common. Poisoning in those aged ≤9 years usually involved other drugs, while pesticides were the most common substances in those aged 20-64 years and ≥65 years.

CONCLUSIONS

This study analysed poisoning incidents in Korea from 2005 to 2009, by age and gender, causative substance, and characteristics. The results of this study may serve as evidence for new strategies in Korea to prevent poisoning.

摘要

目的

鉴于有必要建立一个关于韩国中毒事件的综合数据库,本研究旨在确定韩国中毒事件在年龄、性别、事件发生地点、致病物质和患者预后方面的特征。

数据来源

使用了韩国疾病控制与预防中心的韩国国家医院出院深度伤害调查结果(2005 - 2009年)。

参与者

3826名因中毒事件住院的调查参与者。

结果

每10万人口的中毒住院率女性(1.735)高于男性(1.372),且随年龄增长而增加:9岁及以下个体的发生率为0.458,10 - 19岁个体为0.481,20 - 64岁个体为1.584,65岁及以上个体为4.053。故意中毒住院率因性别和年龄组而异。19岁及以下和20 - 64岁的女性住院率高于男性,而65岁及以上男性在同一年龄组中的住院率高于女性。最常见的中毒物质是农药(33.6%),而未另作分类的抗癫痫药、镇静催眠药、抗帕金森病药和精神药物也很常见。9岁及以下个体的中毒通常涉及其他药物,而农药是20 - 64岁和65岁及以上个体中最常见的物质。

结论

本研究分析了2005年至2009年韩国中毒事件的年龄、性别、致病物质及特征。本研究结果可为韩国预防中毒的新策略提供依据。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d475/4654341/648b82bb9043/bmjopen2015008823f01.jpg

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